NPIMap

Individual provider Active NPI

Tina M. Sauerhammer, M.D.

  • Surgery Physician
  • Appleton, WI
National Provider Identifier
1194768309
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
48898 Issued in WI
Practice address
2700 E Enterprise Ave Ste a
Appleton, WI 54913-7656
Phone
(920) 965-1234
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 48898 WI Primary

Addresses

Primary practice location

2700 E Enterprise Ave Ste a
Appleton, WI 54913-7656

Mailing address

2200 Dickinson Rd Unit 17B
De Pere, WI 54115-4070
Phone (920) 965-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141024000655 WI Practitioner - Plastic and Reconstructive SurgeryPractitioner - Pediatric Medicine 2466600481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Pediatric Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Institute of Plastic Surgery SCGroup PAC ID 3678574662, 4 clinicians

Practice addresses (Care Compare)

2200 Dickinson Rd
Unit 17B
De Pere, WI 54115-4070
Phone (920) 965-1234

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48898WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Surgery CurrentSince Sep 8, 2014 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Sep 8, 2014 Accepting new patients
Wisconsin Institute of Plastic Surgery SC CurrentSince Oct 1, 2019 Accepting new patients
Fox Valley Urological Associates SC PastSince May 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2700 E Enterprise Ave
Appleton, WI 54913

2700 E Enterprise Ave
Ste A
Appleton, WI 54913
Phone (920) 380-9890

4100 N Lightning Dr
Appleton, WI 54913
Phone (920) 380-9890

2200 Dickinson Rd
Unit 17B
De Pere, WI 54115
Phone (920) 380-9890

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1727 Shawano Ave
Green Bay, WI 54303
Phone (920) 431-1810

2461 Holmgren Way
Green Bay, WI 54304
Phone (920) 272-3326

1821 S Webster Ave
Green Bay, WI 54301
Phone (920) 431-1850

2345 Canterbury Ln
Sister Bay, WI 54234
Phone (920) 380-9890

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1194768309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 DICKINSON RD UNIT 17B",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541154070",
            "telephone_number": "920-965-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E ENTERPRISE AVE STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137656",
            "telephone_number": "920-965-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUERHAMMER",
        "first_name": "TINA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "48898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.